dr.hamda qotba1 primary care in the health care system by dr. hamda qotba, b.med.sc, m.d, abcm
TRANSCRIPT
Dr.Hamda Qotba 1
PRIMARY CARE IN THE HEALTH CARE SYSTEM
By
Dr. Hamda Qotba, B.Med.Sc, M.D, ABCM
Dr.Hamda Qotba 2
Problems with the health care services
Urban oriented Curative in natureAccessible to small part of people
Dr.Hamda Qotba 3
Alma-Ata declaration
1978 international conference on primary care reaffirmed HFA as social goal of the governments can be achieved by primary health care
Essential health care provided to all individual that is accessible, affordable and acceptable
With their own participation
Dr.Hamda Qotba 4
HEALTH FOR ALL 2000(WHO, 1981)
“The main social target of governments and of WHO should be the attainment by all the people of the world by the year 2000 of a level of health which would permit them to lead a socially and economically productive life.”
Dr.Hamda Qotba 5
Medical care versus Health care
Medical care: personal services provided by physicians
Health care: services provided to individuals or communities by health service professionals for purpose of
PromotingMaintainingMonitoringRestoring health
Dr.Hamda Qotba 6
PRIMARY HEALTH CARE(WHO)
“the essential health care based on practical, scientifically sound and socially acceptable methods and technology made universally accessible to individuals and families in the community through their full participation and at a cost that the community and country can afford to maintain at each stage of their development, in the spirit of self-reliance and self-determination”
Dr.Hamda Qotba 7
Elements of primary health care
Health educationPromotion of food supply and proper
nutritionSafe water supplyMaternal and child careImmunizationPrevention of endemic diseasesAppropriate treatmentProvision of essential drugs
Dr.Hamda Qotba 8
Principles of primary health care
Equity of distributionHealth services must be shared by all peopleProvide access to all people
Community participationFinancial and man power wiseLet them promote their own health
Intersectoral coordinationEducation, hosing, agriculture,ect….
Appropriate technology According to need not on demand
Dr.Hamda Qotba 9
Other important attributes of primary care
First contact careAccessibilityContinuityCase-management (responsibility
for coordinating all the care that a person needs)
Dr.Hamda Qotba 10
Draft Charter of General Practice/Family Medicine
(WHO-EURO, 1998)
General (unselected health problems)ContinuousComprehensiveCoordinatedCollaborativeFamily-orientedCommunity-oriented
Dr.Hamda Qotba 11
PRINCIPLES OF PRIMARY CARE
The doctor-patient relationship is central to what we do as family physicians
The practice of family medicine is community-based
The family physician is a resource to a defined population
The family physician must be a skilled, effective clinician
Dr.Hamda Qotba 12
Head of Primary Care Center
After finishing postgraduate studies, all of a sudden you found your self in the position of primary care center, what are the first steps you would like to take?
Dr.Hamda Qotba 13
Management of primary care center
Analyzing health situationPopulation (catchment area) StatisticsArea Epidemiology Medical facilitiesManpowerTraining facilitiesAttitude and believes of population
Dr.Hamda Qotba 14
Establishment of objectives and goalsAt all levelsLong term Short term Putting in mind resources
Assessment of resourcesManpowerMoneySkillsKnowledgeMaterials
Fixing priorities
Dr.Hamda Qotba 15
Write up your planDetailed covering all aspectsWell defined cost and time
Programming and implementationFix responsibility for every person to
achieve goalsFor implementation
Define taskInvolve selection , training, motivation,
manpowerOrganization and communication
Dr.Hamda Qotba 16
Monitoring Its continuous process of observation,
recording, and reporting on activities thus it involves keeping activities on the track and correction of any deviation
EvaluationAssessment of achievement of the
stated goals AdequacyEfficiencyAcceptance
Good plan has built-in Evaluation(feed back)